Individual provider Active NPI

Jennifer Sass-Walton, RN

  • Community Health Registered Nurse
  • Mount Vernon, WA
National Provider Identifier
1881123099
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN00110139 Issued in WA
Practice address
700 S 2ND St Ste 301
Mount Vernon, WA 98273-3879
Phone
(360) 416-1529
Fax
(360) 416-1501
NPI assigned
Jun 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN00110139 WA Primary

Addresses

Primary practice location

700 S 2ND St Ste 301
Mount Vernon, WA 98273-3879

Mailing address

700 S 2ND St Ste 301
Mount Vernon, WA 98273-3879
Phone (360) 416-1529

Other identifiers 1

IdentifierTypeStateIssuer
RN00110139OtherWAREGISTERED NURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00110139WAMDCommunity Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881123099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 2ND ST STE 301",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733879",
            "telephone_number": "360-416-1529",
            "fax_number": "360-416-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 2ND ST STE 301",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733879",
            "telephone_number": "360-416-1529",
            "fax_number": "360-416-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASS-WALTON",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN00110139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN00110139",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.